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View Annual Report - Jules Stein Eye Institute

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sherwin J. Isenberg, mD<br />

Laraine and David Gerber Professor of<br />

Pediatric Ophthalmology<br />

Professor of Pediatrics<br />

Vice-Chairman of the UCLA Department<br />

of Ophthalmology<br />

Chief of the Ophthalmology Division,<br />

Harbor-UCLA Medical Center, Torrance<br />

Member of the <strong>Jules</strong> <strong>Stein</strong> <strong>Eye</strong> <strong>Institute</strong><br />

ReseaRch summaRy<br />

Pediatric Ophthalmology, Amblyopia,<br />

and Ophthalmic Pharmacology<br />

Dr. Isenberg’s research activities have concentrated on<br />

various aspects of surgical and medical diseases of<br />

children’s eyes. The goal is to decrease the frequency<br />

of blindness in children worldwide. In a series of studies<br />

of newborns, Dr. Isenberg has characterized a number<br />

of elements: the type and source of bacteria of the<br />

external eye; the evolution of iris structural changes;<br />

the development of the macula, which is the source<br />

of central vision; and pupillary responses after birth.<br />

Recent publications have characterized the produc-<br />

tion and nature of tears of infants and the develop-<br />

ment of the cornea in the first year of life. He has also<br />

reported the ocular signs in newborns whose mothers<br />

abuse cocaine, facilitating the diagnosis of newborn<br />

cocaine intoxication.<br />

In another avenue of research, povidone-iodine eye<br />

drops have been found to treat bacterial conjunctivitis<br />

successfully in a three-year, international study with the<br />

University of the Philippines. The eye drops were also<br />

found to be safer and more effective in preventing eye<br />

infections than the currently used agents. Dr. Isenberg<br />

and other investigators have now proven that the<br />

povidone-iodine eye drops can treat the number one<br />

cause of preventable pediatric blindness in the world—<br />

corneal infections due to bacteria. These studies,<br />

conducted in children and adults in India and the<br />

Philippines, should reduce the number of 400,000<br />

children now blind from corneal infections. A new study<br />

investigating fungal infections of the eye, which blind<br />

approximately 10,000 children annually, has been<br />

completed at three sites in India.<br />

48 Faculty | Isenberg<br />

Lastly, a new device that reports blood gases from<br />

the conjunctiva, such as oxygen and carbon dioxide,<br />

is being developed. Preliminary trials have been<br />

completed in animals and in adults undergoing<br />

cardiac bypass surgery. The hope is to apply the<br />

device to the eyes of premature newborns. The<br />

continuous readout of tissue blood gas levels should<br />

enable the pediatrician to prevent damage to the<br />

baby’s brain and keep the oxygen at an appropriate<br />

level, minimizing the possibility of blindness from<br />

retinopathy of prematurity.<br />

Public Service<br />

Member, Medical Advisory Board and Board of Directors;<br />

and Research Committee Chair, Blind Children’s Center<br />

President, Costenbader Pediatric Ophthalmology Society<br />

Vice President Elect, American Association for<br />

Pediatric Ophthalmology and Strabismus

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